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Individual

ROSARIO CISMOWSKI ESCOBEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17709A HWY 84/285, SANTA FE, NM 87506
(914) 490-5987
Mailing address
17709A HWY 84/285, SANTA FE, NM 87506
(915) 490-5987

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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